Travis Hamblin, DO is a medicare enrolled "Dermatology" physician in Show Low, Arizona. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hamblin Dermatology Pllc and his current practice location is
5300 S Sutter Dr Ste 1, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 532-7546.
Travis Hamblin is licensed to practice in Arizona (license number 006585) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427344415.
Physician's Profile
| Full Name | Travis Hamblin |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 5300 S Sutter Dr Ste 1, Show Low, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Travis Hamblin graduated from medical school in 2011
NPI Data:
- NPI Number: 1427344415
- Provider Enumeration Date: 06/28/2011
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153633268
- Enrollment ID: I20150702000617
Medical Identifiers
Medical identifiers for Travis Hamblin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427344415 | NPI | - | NPPES |
| 006156 | Medicaid | AZ | |
| Z176975 | Other | AZ | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 006585 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hamblin Dermatology Pllc | 2264744374 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis Hamblin allows following entities to bill medicare on his behalf.
| Entity Name | Hamblin Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568851350
PECOS PAC ID: 2264744374
Enrollment ID: O20150702000526 |
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| Entity Name | Hw Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750800033
PECOS PAC ID: 4880951201
Enrollment ID: O20171120001906 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Hamblin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Travis Hamblin, DO
Po Box 1792,
Higley, AZ 85236-1792
Ph: (928) 532-7546 | Travis Hamblin, DO
5300 S Sutter Dr Ste 1,
Show Low, AZ 85901-8055
Ph: (928) 532-7546 |
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